Effects of Early Comprehensive Psychological Interventions on Negative Emotions in Patients with Facial Spasm Undergoing Microvascular Decompression
American Journal of Nursing Science
Volume 9, Issue 3, June 2020, Pages: 155-159
Received: Apr. 12, 2020;
Accepted: May 6, 2020;
Published: May 18, 2020
Views 81 Downloads 51
Lihua Zhang, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Zhaohui Li, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Gefen Yue, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Nina Xu, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Xianke Wang, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Yuxin Zhan, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Yilan Liu, Wuhan Union Hospital, Huazhong University of Science and Technology, Wuhan, China
Purpose: This study was undertaken to assess the effects of early psychological interventions on negative emotions in patients with facial spasm undergoing microvascular decompression. Methods: A total of 164 cases of patients with facial spasm undergoing microvascular decompression were included in the study. They were randomly divided into two groups: the patients in the control group (81 cases) were given conventional nursing care and the patients in the experimental group (83 cases) were given early comprehensive psychological interventions including cognitive therapy, behavior therapy and supportive therapy. All participants were evaluated with the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS) before and after the nursing interventions. Results: Before intervention, the SAS and SDS scores of patients in experimental group were 51.70±9.49 and 44.99±10.25, respectively, they were 50.92±10.25 and 44.27± 9.93 in control group. No significant (p>0.05) differences in SAS and SDS scores were found before nursing interventions. After intervention, the SAS and SDS scores of patients in experimental group were 34.33±9.56 and 29.55±7.64. The SAS and SDS scores were 40.65±12.06 and 35.36 ± 8.66 in control group. Patients receiving early comprehensive psychological interventions got much lower SAS and SDS scores than those in the control group and the differences between them were statically significant (p<0.05). Conclusion: The results from this study and published data support the conclusion that early comprehensive psychological intervention is beneficial to alleviate the negative emotions and promote mental health in patients with hemifacial spasms undergoing microvascular decompression. However, further extensive work will be required to study more in depth.
Effects of Early Comprehensive Psychological Interventions on Negative Emotions in Patients with Facial Spasm Undergoing Microvascular Decompression, American Journal of Nursing Science.
Vol. 9, No. 3,
2020, pp. 155-159.
Tan, E. K., et al. "Validation of a short disease specific quality of life scale for hemifacial spasm: correlation with SF-36." Journal of Neurology, Neurosurgery & Psychiatry 76.12 (2005): 1707-1710.
Tan, N‐C., L‐L. Chan, and E‐K. Tan. "Hemifacial spasm and involuntary facial movements." Qjm 95.8 (2002): 493-500.
Wang, Lin, et al. "Clinical features and treatment status of hemifacial spasm in China." Chinese medical journal 127.5 (2014): 845-849.
Bao Fa-xiu, Mao Cui-ping, et al. "Correlation of neurovascular contact/compression grade with severity of spasm, impaired cognition and emotion in patients with hemifacial spasm." Chinese Journal of Medical Imaging Technology, 2014, 30 (7): 1001-5.
Wang Hong, Zhang Hu-li, et al. "A survey of mental health state in patients with blepharospasm and hemifacial spasm. " Chinese Journal of Behavioral Medical Science. 2002, 11 (2): 141-142.
Chen Mei-rong, Ma Ya-hong, et al. "Postoperative nursing of patients with hemifacial spasm undergoing microvascular decompression surgery." Nursing Journal of Chinese People's Liberation Army, 2014, 31 (21): 46-63
Li Chun-mei, "perioperative nursing of 158 cases of primary hemifacial spasm treated by microvascular decompression of facial nerve roots." Journal of Qilu Nursing, 2013, 19 (24): 80-81.
Wang Juan, Liang Qing-hua, et al. "perioperative nursing of facial nerve root microvascular decompression for the treatment of facial spasm." Chinese Journal of Practical Nervous Diseases, 2013, 16 (10): 94-96.
Zhou Zhao-jun, Wang Mao-song, Han Bing, et al. "Effects of biofeedback training on psychological state of patients with hemifacial spasm." Chinese Journal of Modern Medicine, 2016, 18 (3): 62--63.
Shi Feng, Chang Qing, Ni Hong-bing, et al. "peri-operative care for patients with hemifacial spasm treated by microvascular decompression." Journal of Nurses Training, 2014, 29 (18): 16 74-1676.
Zhang Ming-yuan. "Manual of Mental Rating Scale." Changsha: Hunan Science and Technology Press, 2003: 35-42, 81-94.
Wu Wei, Chen Lei-qian, Dong Wei, et al. "Evaluation of psychological status of patients with hemifacial spasm." Heath Psychology Journal, 2000, 8 (1): 66-67.
Zhu Ming-lan, Zhou Zhen-bo. "Nursing care of 45 patients with hemifacial spasm treated by microvascular decompression. " Chinese Journal of Nursing, 2006, 41 (8): 699-700.
Brant P, Weinert C. "The PRQ: A social support measure. " Nursing Research, 1981, 30: 277-280.
Fu Yong-qiang, Wei Ming-ran, Tu Jin-quan. "Delayed facial paralysis after microscopic vascular decompression." Chinese Journal of Primary Medicine and Pharmacy, 2011, 18 (1): 115-116.
Chen Hai-qin, Xu mei-ying, Shi Xing-fen, et al. "Effects of integrated psychological intervention on negative emotion in patients with rheumatoid arthritis." Nursing Journal of Chinese People's Liberation Army 2016, 27 (4A): 487-489.
Zhou Ya-ting, Niu Ya-ling, et al. "Effects of comprehensive nursing intervention on psychological state and quality of life in patients with nasopharyngeal carcinoma during radiotherapy." China Journal of Health Psychology. 2015, 23 (7): 1050-1051.
Wu Shi-ju, Wu Jun-ling, Li Run-ying. et, al. "The study of the impact of anxiety to postoperative adverse in hemifacial spasm patients." Chinese Journal of General Practice. 2016, 11 (3): 484-491.
Chellew, K., Evans, P., Fornes-Vives, J., Perez, G. and Garcia-Banda, G. "The effect of progressive muscle relaxation on daily cortisol secretion." Stress, 2015, 18 (5), pp. 538-544.
Kim, K. J., Na, Y. K. and Hong, H. S "Effects of progressive muscle relaxation therapy in colorectal cancer patients." Western journal of nursing research, 2016, 38 (8), pp. 959-973.
Li Xiaoxia, Liu Na. "Efficacy of progressive muscle relaxation on fracture of postoperative pain." Nursing Practice and Research. 2013, 10 (6): 41-42.